CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
1/5
📊 Quality Measures
4/5
RN / Resident / Day
25 min
State avg: 40 min · US avg: 41 min
LPN hrs/day
48 min
CNA hrs/day
2h 9m
Total Nurse / Resident / Day
3h 22m
State avg: 3h 43m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 4 min · US avg: 4 min
RN Turnover Rate
66 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
26 min
RN Hours Weekend
9 min
Weekend vs. Weekday RN
36%well below avg
US avg: 64%
Total Nurse Weekend
2h 18m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/3/2023 | Fine | $15,593 | - |
| 6/3/2023 | Payment Denial | - | 11 |
| 2/9/2023 | Payment Denial | - | 38 |
| 2/9/2023 | Fine | $10,059 | - |
Inspection Citations
30-Day Readmission
22.3 per 100
State avg: 22.4 · US avg: 23.9
ED Visits (no readmit)
14.9 per 100
State avg: 10.5 · US avg: 12.0
VBP Performance Score
20/100
Incentive Payment
-1.77% penalty
Risk-Std Readmission
20.3 per 100
Healthcare-Assoc. Infections
6.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
54
Avg Length of Stay
29.1 days
Avg Payment / Stay
$14,737.22
Patient Complexity
3.40 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Survey: September 30, 2025(1 citation)
Survey: September 9, 2025(1 citation)
Survey: July 17, 2025(1 citation)
Survey: May 2, 2025(14 citations)
Survey: February 13, 2025(1 citation)
+ 12 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.0 per 100
State avg: 3.8 · US avg: 3.3
Pressure Ulcers
3.2 per 100
State avg: 4.1 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 1.3 · US avg: 1.6
Flu Vaccination
62.7 per 100
State avg: 79.0 · US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
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